Missouri Revised Statutes

Chapter 210
Child Protection and Reformation
Section 210.003

August 28, 2014

Immunizations of children required, when, exceptions--duties of
administrator, report.

210.003. 1. No child shall be permitted to enroll in or attend any
public, private or parochial day care center, preschool or nursery school
caring for ten or more children unless such child has been adequately
immunized against vaccine-preventable childhood illnesses specified by the
department of health and senior services in accordance with recommendations
of the Immunization Practices Advisory Committee (ACIP). The parent or
guardian of such child shall provide satisfactory evidence of the required
immunizations.

2. A child who has not completed all immunizations appropriate for his
age may enroll, if:

(1) Satisfactory evidence is produced that such child has begun the
process of immunization. The child may continue to attend as long as the
immunization process is being accomplished according to the ACIP/Missouri
department of health and senior services recommended schedule; or

(2) The parent or guardian has signed and placed on file with the day
care administrator a statement of exemption which may be either of the
following:

(a) A medical exemption, by which a child shall be exempted from the
requirements of this section upon certification by a licensed physician that
such immunization would seriously endanger the child's health or life; or

(b) A parent or guardian exemption, by which a child shall be exempted
from the requirements of this section if one parent or guardian files a
written objection to immunization with the day care administrator.
Exemptions shall be accepted by the day care administrator when the necessary
information as determined by the department of health and senior services is
filed with the day care administrator by the parent or guardian. Exemption
forms shall be provided by the department of health and senior services.

3. In the event of an outbreak or suspected outbreak of a
vaccine-preventable disease within a particular facility, the administrator
of the facility shall follow the control measures instituted by the local
health authority or the department of health and senior services or both the
local health authority and the department of health and senior services, as
established in Rule 19 CSR 20-20.040, "Measures for the Control of
Communicable Diseases".

4. The administrator of each public, private or parochial day care
center, preschool or nursery school shall cause to be prepared a record of
immunization of every child enrolled in or attending a facility under his
jurisdiction. An annual summary report shall be made by January fifteenth
showing the immunization status of each child enrolled, using forms provided
for this purpose by the department of health and senior services. The
immunization records shall be available for review by department of health
and senior services personnel upon request.

5. For purposes of this section, satisfactory evidence of immunization
means a statement, certificate or record from a physician or other recognized
health facility or personnel, stating that the required immunizations have
been given to the child and verifying the type of vaccine and the month, day
and year of administration.

6. Nothing in this section shall preclude any political subdivision from
adopting more stringent rules regarding the immunization of preschool
children.

(L. 1988 S.B. 797 § 1)

Effective 9-1-88

CROSS REFERENCES:

Consent to immunization may be delegated to other persons, when,
431.058